| NPI | 1265829345 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist (Licence: NV 25670) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A161633) |
| 207W00000X Ophthalmology (Licence: NV 25670) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: CA A161633) | |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2024-05-01 |